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Telemedicine means literally medicine at a distance. New technologies in sensing, medical imaging and wireless data
communications are allowing telemedicine to provide healthcare at a distance with much lower cost than in the past,
enabling the development of new widespread remote medicine initiatives[5].Researches categorize the telemedicine
history into three eras[3].The first era can be named as telecommunications era of the 1970s. Applications in this era
were dependent on broadcast and television technologies where telemedicine application was not integrated with any
other clinical data. The second era of telemedicine, dedicated era, started during the late 1980s as a result of
digitalization in telecommunications and it grew during 1990s The transmission of data was supported by various
communication mediums ranging from telephone lines to Integrated Service Digital Network (ISDN) lines[6].The high
costs attached to the communication mediums that can provide higher bandwidth became an important bottleneck for
telemedicine. Dedicated era has turned into an Internet era where more complex networks are supporting the
telemedicine. The third era of telemedicine is supported by the technology that is cheaper and accessible to an
increasing user population. The enhanced speed and quality offered by Internet or3G mobile telephony is providing
new opportunities in telemedicine. Certain recent research projects include the use of satellite-based Telemedicine
solutions. Satellite-based telemedicine services are used to solve teleconsultation, tele-education, home care, second
opinion and other medical problems[7].
There are many challenges in wireless monitoring of patients, including the coverage, reliability and quality of
monitoring. The work done in patient monitoring includes home monitoring wireless telemetry system for EEG
epilepsy Bluetooth-based system for digitized ECGs a hospital-wide mobile monitoring system mobile telemedicine
and, real-time home monitoring of patients[5]. One of the most difficult challenges in patient monitoring using
wireless networks, especially for emergency messages, is the reliability of message delivery[6].Many hospitals and
nursing homes are deploying infrastructure-oriented wireless networks, such as wireless LANs, satellites, and cellular
and GSM in telemedicine systems range from simple heart rate, blood pressure, body temperature to blood glucose
levels and ECG wave forms. To overcome the coverage problems a reliable low profile antenna is required for best
performance
The structure of this paper is as follows. In section 2 wireless technology for telemedicine are introduced ,followed
by section 3physiological parameter 4 challenges for conventional sensor .In section 5wearable technology is
introduced ,section 6 gives conclusion.
II. WIRELESS TECHNOLOGY
Wireless adoption in the healthcare industry is high and is expected to grow even further. The new wireless broadband
technologies enabled creation of telemedicine services previously only possible via cable connections. Advanced
medical services can be provided to rural areas or areas stricken with disasters otherwise unreachable by cable
connections, very quickly and with fraction of the previous cost. Wireless telemedicine is especially suitable for areas
lacking proper cable connections or places where installing cable links is difficult, economically unavailable or simply
impossible.
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1977
GPRS
Wireless LAN
Satellite
GSM-900
GSM-1800
GSM-1900
GPRS
IEEE 802.11a
IEEE 802.11b
Hiperlan1
Hiperlan2
Bluetooth
ICO
Globalstar
900MHZ
1800MHZ
1900MHZ
900/1800/1900MHZ
5GHz
2.4GHz
5GHz
5GHz
2.4GHz
C,S band
L,S,C band
9.6-43.3 kbps
9.6-43.3 kbps
9.6-43.3 kbps
171.2kbps
20Mbps
11Mbps
20Mbps
54Mbps
723.2Mbps
2.4kbps
7.2kbps
Iridium
Cyberstar
Celestri
L,Ka band
Ku,Ka band
Ka band
and 40-50GHz
Ka band
Ku band
2.4kbps
400kbps-30Mbps
155Mbps
Teledesic
Skybridge
16kbps-64Mbps
16kbps-2Mbps
III.PHYSIOLOGICAL PARAMETER
The physiological parameters that are monitored are Electrocardiogram (ECG), heart rate derived from ECG signals by
determining the R-R intervals, blood pressure, body temperature, Galvanic Skin Response (GSR), Oxygen saturation in
blood (SaO2), respiratory rate, Electromyogram (EMG), Electroencephalogram (EEG) and three axis movement of the
subject measured using an accelerometer[12].
IV.CHALLANGES
The conventional physiological monitoring system used in hospitals cannot be used for wearable physiological
monitoring applications due to the following reasons .
The conventional physiological monitoring systems are bulky to be used for wearable monitoring.
The gels used in the electrodes dry out when used over a period of time, which lead to increase in the contact
resistance and thereby degrading the signal quality.
The gels used in the electrodes cause irritations and rashes when used for longer durations.
.The sensors used in conventional monitoring systems are bulky and are not comfortable to wear for longer
durations[3].
To overcome the above problems associated with the conventional physiological monitoring there is a need to develop
sensors for wearable monitoring and integrate them into the fabric of wearer and continuously monitor the
physiological parameters.
V.WEARABLE TECHNOLOGY
A. Wearable monitoring system
Wearable physiological monitoring system
consists of an array of sensors embedded into the fabric of the wearer to continuously monitor the physiological
parameters and transmit wireless to a remote monitoring station. In the conventional wearable physiological monitoring
system, the sensors are integrated at specific locations on the vest and are interconnected to the wearable data
acquisition hardware by wires woven into the fabric.
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1978
Fig1.Overall architecture of the wireless sensor network based wearable physiological monitoring system.
The drawback in sensor system is that the cables woven in the fabric pickup noise such as power line interference and
signals from nearby radiating sources and thereby corrupting the physiological signals. Also repositioning the sensors
in the fabric is difficult once integrated[8].Number of sensors integrated into the fabric form a network (Personal Area
Network) and interacts with the human system to acquire and transmit the physiological data to a wearable data
acquisition system.
B.Wearable antennas
The health parameters that may be transmitted wirelessly to remote stations (off body mode) in telemedicine systems.In
addition to off body applications, on body mode is also necessary for communication between sensors devices located
on or within the patient's body[6].Therefore a reliable low profile antenna is required for best performance. Various
types and design approaches of wearable antennas are being proposed including: Electro-textile, microstrip patches ,
buttons antennas, wearable MIMO systems, or hybrid systems based on one or more of such designs .wearable
antennas are required to be small size, lightweight, but robust at the same time[1]. They also have to be comfortable
and conformal to the body shape, yet they must maintain high performance in terms of reliability and efficiency.
Electro textile based antennas seem to be a low profile low profile solution for wearable application; however, they are
more prone to discontinuities in substrate material, fluids absorption, bending, twisting, and compression . Furthermore,
microstrip button antennas offer favorable characteristics such as lower profile construction, low cost, ease of
fabrication, capability of integration with clothing.
The wearable antenna for telemedicine has proven to be better option for patient monitoring. Such antenna with
specified parameter as can be simulated on antenna software such as CADFEKO, HFSS, CST Microwave studio , and
then fabricated. Depending on the comparative study of result the antenna can be fabricated for optimum result.In this
paper wearable yagi antenna for two different design is designed
VI.CIRCULAR YAGI PATCH ANTENNA
A. Design model
First proposed design for wearable antenna is circular yagi patch antenna.In this design the shape of substrate is
circular. Following fig 3.Shows the design model for circular patch yagi antenna.
B.Antenna parameters
Following table gives the specification for antenna parameter
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1979
Parameter
Operating freq
Dielectric const
Substrate thickness
Substrate radius
Ground radius
Ground thickness
Driven element dimension
Director dimension
Reflector dimension
Extra coupling ele. Dime.
Value
2.45GHz
4.4
0.85mm
36mm
36mm
0.5mm
30mmX25mm
10mm X 5mm
10mmX5mm
25mmX5mm
C.RESULTS
The prosposed antenna on HFSS have given the results as follows
1. S11 return loss
Fig 4 shows the S11 plot for the proposed antenna which indicates that the antenna gives improved result as compared
to previous one.It gives -24dB return loss.
Ansoft
NameCorporation
X
XY Plot 1
m1
0.00
2.3153
-22.5668
m2
2.3193
-24.4359
HFSSDesign1
Curve Info
dB(St(Cylinder3_T1,Cylinder3_T1))
Setup1 : Sw eep1
dB(St(Cylinder3_T1,Cylinder3_T1))
-5.00
-10.00
-15.00
-20.00
m1
m2
-25.00
1.00
1.50
2.00
Freq [GHz]
2.50
3.00
2. Gain
Fig 5 gives the antenna gain 2 dB which is less and that should be improved.
Fig.5.Gain
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1980
3.Radiation pattern
Ansoft
NameCorporation
Theta
Ang
Radiation Pattern 1
Mag
m1
360.0000
-0.0000
1.0304
m2
170.0000
170.0000
-17.9316
m3
140.0000
140.0000
-32.3204
HFSSDesign1
Curve Info
0
-30
m1
dB(GainTotal)
Setup1 : Sw eep1
Phi='0deg'
30
-3.00
dB(GainTotal)
Setup1 : Sw eep1
Phi='10deg'
-11.00
-60
60
dB(GainTotal)
Setup1 : Sw eep1
Phi='20deg'
-19.00
dB(GainTotal)
Setup1 : Sw eep1
Phi='30deg'
-27.00
-90
dB(GainTotal)
Setup1 : Sw eep1
Phi='40deg'
90
m3
dB(GainTotal)
Setup1 : Sw eep1
Phi='50deg'
dB(GainTotal)
Setup1 : Sw eep1
Phi='60deg'
m2
-120
120
-150
dB(GainTotal)
150
-180
From the plot of radition pattern it is proven that as we get main lobe larger than back lobe ,the front radiation are
larger and low F/B ratio.
VII.RECTANGULAR PATCH ANTENNA
First proposed design for wearable antenna is circular yagi patch antenna.In this design the shape of substrate is
circular. Following fig 3. Shows the design model for circular patch yagi antenna
A. Design model
XY Plot 1
HFSSDesign1
dB(St(Cylinder3_T1,Cylinder3_T1))
Curve Info
dB(St(Cylinder3_T1,Cylinder3_T1))
Setup1 : Sweep1
-5.00
-10.00
m1
-15.00
-20.00
1.00
1.50
2.00
Freq [GHz]
2.50
3.00
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1981
C.Radiation pattern
Radiation Pattern 5
Ansoft Corporation
HFSSDesign1
Curve Info
0
-30
rETotal
Setup1 : Sw eep1
Phi='0deg'
30
0.06
rETotal
Setup1 : Sw eep1
Phi='10deg'
0.05
-60
60
rETotal
Setup1 : Sw eep1
Phi='20deg'
0.03
rETotal
Setup1 : Sw eep1
Phi='30deg'
0.02
-90
90
rETotal
Setup1 : Sw eep1
Phi='40deg'
rETotal
Setup1 : Sw eep1
Phi='50deg'
-120
120
-150
rETotal
Setup1 : Sw eep1
150
-180
Fig.9 shows the plot of radiation pattern.In rectangular patch antenna we get side lobe radiation dominating
D.Gain
Parameter
CST
HFSS
CADFEKO
Gain
S11
VSWR
6dB
-24dB
1.1
9dB
-19dB
1.1
8dB
20dB
1.1
From above table it is clear that performance of antenna parameter vary with simulation software .HFSS gives the
improved results.
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1982
X.CONCLUSION
In previous work same antenna was designed in CST MICROWAVE studio software but the result were not
satisfactory. Same design in HFSS gives improved result. With this design we get improved result of return loss ,F/B
ratio, but gain result is not satisfactory. Gain can be improved by changing some dimension.
For telemedicine wearable antenna is the best solution previous work has done with CST software , but this
antenna is proposed with HFSS software which has given the improved result and lower F/B ratio. Dielectric constant
used for this antenna is FR4 epoxy which is easily available in market. By changing the shape, dimension the
simulation will be performed and the result will be taken and with best result antenna will be fabricated.
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Taha A. Elwi Wearable Yagi Microstrip Antenna for Telemedicine Applications ,Radio and wireless symposium (RWS),2010IEEE[2] Dr. V.S. Tripathi Motilal Nehru National Institute of Technology Allahabad Micro strip Patch Antenna and its Applications: a Survey Indrasen
Singh et al, Int. J. Comp. Tech. Appl., Vol 2 (5), 1595-1599
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Implantable Devices Department of Electrical and Computer Engineering Duke University
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[10] A New High-Gain Microstrip Yagi Array Antenna With a High Front-to-Back (F/B) Ratio for WLAN and Millimeter-Wave Applications Gerald
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[11] Upkar Varshney A framework for supporting emergency messages in wireless patient monitoring-, Department of Computer Information
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Via Branze 38, 25123 Brescia, Italy
[13] KIN-LU WONG Compact and Broadband Microstrip Antennas[14] David R. Jackson Overview of Microstrip Antennas -Dept. of ECE University of Houston
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[16] Titti Kellomaki Effects of Human body on wearable antenna
[17] Anders J JohanssonJune Wireless Communication with MedicalImplants: Antennas and Propagation June 2004
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1983